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Tags are what WordPress calls is keywords. I attach a small number of tags to every post to help people navigate between content with the same keywords. Tags may be people (David Gauke say), organisations (The Howard League, Revolving Doors Agency), themes (women offenders, homelessness) or specific items (heroin, cocaine, ROTL). If you’re looking to research a particular issue, they can be invaluable.

Payment by Results

Can payment by results improve outcomes?

The idea is that by commissioning outcomes rather than outputs, commissioners allow provider to work in any way they see fit, safe in the knowledge that if the outcomes are not achieved, they do not have to make payment. But do PbR schemes achieve better outcomes?

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Commissioning

It’s time we did something about commissioning

Reform argues that the current system does not encourage innovation or quality. Whether provision is public or private it is typically a local monopoly with limited or no incentives to improve performance. Too often national and local commissioners prioritise price over effectiveness.

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Payment by Results

The 2nd Commandment of payment by results: Thy outcomes shall be few

Most payment by results pilot schemes are targeted at entrenched social problems. These problems – troubled families, long term unemployment, re-offending and drug dependency – are complex by nature. They require a coordinated response which addresses a wide range of issues. PbR funded interventions are a natural commissioning approach to tackle complex problems. However, PbR schemes quickly run into trouble when the outcomes themselves become complex.

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